Individual provider Active NPI

Darolyn Perkins, NP-C

  • Adult Health Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1609272905
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP126380 Issued in TX
Practice address
14121 Parke Long CT
Suite 201
Chantilly, VA 20151-1647
Phone
(703) 935-4904
NPI assigned
Nov 13, 2014
Last updated
Nov 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP126380 TX Primary

Addresses

Primary practice location

14121 Parke Long CT
Suite 201
Chantilly, VA 20151-1647

Mailing address

13908 Rollingwood Dr
Apt. 1222
Euless, TX 76040-2507
Phone (817) 524-9356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724011704 TX Practitioner - Nurse Practitioner 7911210554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PS Health Services LLCGroup PAC ID 7214311844, 6 clinicians
Modern Medical House Calls PLLCGroup PAC ID 5092932921, 7 clinicians

Practice addresses (Care Compare)

3008 Peppercorn Dr
Euless, TX 76039-4140
Phone (817) 527-1182

855 Davis Blvd
Suite 500
Southlake, TX 76092-8218
Phone (817) 912-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Medical House Calls PLLC CurrentSince Apr 14, 2017 Accepting new patients
Careconnectmd Texas PA CurrentSince Jun 24, 2024 Accepting new patients
PS Health Services LLC CurrentSince Jun 14, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

855 Davis Blvd
Ste 500
Southlake, TX 76092
Phone (817) 912-1771

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1609272905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13908 ROLLINGWOOD DR",
            "address_2": "APT. 1222",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760402507",
            "telephone_number": "817-524-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT",
            "address_2": "SUITE 201",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "703-935-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "DAROLYN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP126380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.